Tina Thomas
Katy,TX
Summary
Detail-oriented Medical Billing and Coding Specialist with 17 years in process optimization and operational efficiency. Expertise in insurance verification and payment processing enhances accuracy and patient satisfaction. Committed to improving operational workflows and delivering exceptional customer service.
Overview
18
18
years of professional experience
Work History
Patient Access Representative
Pediatrix Medical Group
Houston, TX
09.2025 - Current
- Verified insurance coverage for services, ensuring eligibility and reducing patient billing issues.
- Performed pre-registration functions, including demographic verification and collection of fees.
- Communicated financial obligations to patients, enabling secure and timely payments at time of service.
- Greeted patients and visitors courteously, fostering a welcoming and professional atmosphere.
- Answered phone inquiries promptly while maintaining professionalism.
- Scanned and organized documents into electronic medical records system, enhancing accuracy and accessibility of patient data.
- Transmitted medical records and correspondence via mail, email, or fax efficiently.
- Applied HIPAA regulations to safeguard patient information during all interactions.
Billing Specialist
Pediatric Center
Richmond, TX
02.2023 - 08.2025
- Verified insurance eligibility and coverage for assigned accounts.
- Researched patient accounts to ensure accurate payment postings and minimize discrepancies.
- Submitted corrected claims to improve processing accuracy.
- Conducted periodic audits of patient accounts to maintain data accuracy.
- Communicated with patients to resolve billing inquiries and clarify account balances via phone and mail, enhancing customer satisfaction.
- Responded promptly to customer inquiries, ensuring timely resolutions.
- Assisted patients with account-related issues across multiple phone lines.
- Generated refund requests for overpayments, expediting reimbursement processes.
Insurance Follow-Up Representative II
Kelsey-Seybold Clinic
Pearland, TX
07.2022 - 02.2023
- Followed up with insurance companies on unpaid or rejected claims, facilitating prompt resolutions and ensuring timely payments.
- Refiled or appealed claims, expediting processing and resolution to minimize delays.
- Submitted additional medical documentation and monitored account statuses for accuracy.
- Analyzed assigned cases to track account statuses effectively.
- Delivered srr to clinics and csa to coders, ensuring precise claims processing and reducing errors.
Medical Billing Specialist
Sagis
Houston, TX
06.2020 - 07.2022
- Processed patient and insurance payments efficiently to enhance cash flow.
- Posted Medicare and Medicaid payments accurately to ensure timely revenue recognition.
- Submitted appeals for denied claims per insurance company guidelines to recover potential revenue.
- Updated patient accounts using data from internal departments and external sources to ensure accuracy and compliance.
- Maintained organized records of posted payments to support auditing and compliance efforts.
Payment Poster
North Houston Nephrology & Diagnostic, Orthopedics Associates
Houston, TX
01.2019 - 06.2020
- Performed detailed research of patient accounts to ensure payment accuracy and minimize discrepancies.
- Resolved billing issues through thorough research of invoices and customer databases.
- Reviewed account adjustments within established limits to maintain accuracy.
- Oversaw management of payment discrepancies and customer write-offs to maintain financial integrity.
- Reconciled electronic payment files with bank statements to uphold accuracy.
- Adjusted accounts by retrieving erroneously returned checks and addressing inquiries to maintain account integrity.
- Engaged with customers via mail or phone to resolve overdue balances, enhancing collection outcomes.
- Promptly addressed customer inquiries concerning account statuses.
Medical Billing Specialist
Texas Medical Management
Houston, TX
11.2017 - 04.2018
- Submitted claims to insurance providers via electronic billing systems, ensuring timely processing and reducing delays.
- Reviewed patient bills for accuracy and completeness, ensuring error-free submissions.
- Obtained missing information to enhance accuracy and completeness of patient billing reviews.
- Managed third-party billing collections and reimbursement processes, leading to faster payment cycles and reduced outstanding balances.
- Responded effectively to patient and insurance inquiries regarding assigned accounts.
Payment Poster
Bellaire Dermatology
Bellaire, TX
09.2015 - 04.2017
- Reviewed and processed incoming payments, ensuring accuracy and completeness to maintain financial integrity.
- Executed daily reconciliation of cash receipts, credit card payments, and other payment types.
- Processed electronic payment files, reconciling discrepancies with bank statements.
- Monitored aging accounts receivable, followed up on delinquent payers to recover outstanding balances and improve cash flow.
- Analyzed customer payment patterns, identifying trends to proactively address and reduce delinquencies.
- Conducted periodic audits of patient accounts, verifying information accuracy.
- Communicated with patients about account balances and billing inquiries via phone or mail, improving clarity and satisfaction with billing processes.
- Responded promptly to customer inquiries about accounts to maintain satisfaction.
Payment Poster
Texas ENT
Houston, TX
09.2014 - 09.2015
- Reviewed incoming payments for accuracy and completeness, facilitating correct posting and reducing potential discrepancies.
- Conducted research on patient accounts for precise payment posting, enhancing accuracy in financial reporting.
- Reconciled daily cash receipts, credit card payments, and other payment types to maintain accurate financial records.
- Communicated account balances and billing inquiries to patients via phone and mail, ensuring clarity and understanding of financial responsibilities.
- Addressed customer inquiries promptly, resolving issues to enhance patient experience and satisfaction.
Medical Receptionist & Medical Biller
Ramsey Pediatrics
Cypress, TX
08.2008 - 01.2014
- Scheduled and followed up on patient appointments, processed payments, and maintained accurate patient files to enhance patient flow.
- Managed appointment scheduling using electronic medical record systems efficiently.
- Greeted and checked in patients, updating patient information in computer system.
- Collected and verified patient information during the registration process accurately.
- Responded promptly to phone inquiries, delivering accurate information on services to assist patients effectively.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Education
Diploma - Medical Billing And Coding
WestWood College
Houston, TX03-2008
Skills
- Eligibility verification
- Claim processing
- Accounts receivable management
- Medical software proficiency
- Appointment scheduling
- Detail-oriented approach
- Multitasking skills
- Patient communication
- Multi-line telephone systems
Timeline
Patient Access Representative
Pediatrix Medical Group
09.2025 - Current
Billing Specialist
Pediatric Center
02.2023 - 08.2025
Insurance Follow-Up Representative II
Kelsey-Seybold Clinic
07.2022 - 02.2023
Medical Billing Specialist
Sagis
06.2020 - 07.2022
Payment Poster
North Houston Nephrology & Diagnostic, Orthopedics Associates
01.2019 - 06.2020
Medical Billing Specialist
Texas Medical Management
11.2017 - 04.2018
Payment Poster
Bellaire Dermatology
09.2015 - 04.2017
Payment Poster
Texas ENT
09.2014 - 09.2015
Medical Receptionist & Medical Biller
Ramsey Pediatrics
08.2008 - 01.2014
Diploma - Medical Billing And Coding
WestWood College